Organization
LEGACY AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA TENDAYI DR. (CHIEF EXECUTIVE OFFICER)
(610) 858-7410
Entity
Organization
Contact information
Practice address
302 PLEASANT VIEW DR, DOUGLASSVILLE, PA 19518-9262
(610) 858-7410
(484) 363-5923
Mailing address
302 PLEASANT VIEW DR, DOUGLASSVILLE, PA 19518-9262
(610) 858-7410
(484) 363-5923
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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